Insurance and Self-Pay

Insurance:

All of our licensed providers are considered in-network with Anthem Blue Cross Blue Shield and CareFirst Blue Cross Blue Shield (Federal Employee Program, Out of State BCBS plans).

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PLEASE NOTE: We do not accept any Medicare OR Medicaid plan types. This includes Medicare Advantage plans through BCBS.

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We are out-of-network for all insurance plans outside of BCBS/Anthem. As a courtesy, Think Happy Live Healthy will submit out-of-network claims to your insurance company on your behalf when the plan allows us to do so.

 

If your plan does not allow us to bill the insurance company as an out-of-network provider, we will provide you with a detailed superbill that you may submit to your insurance company for potential reimbursement.

 

For questions regarding out-of-network billing or your account, please contact our billing department at  billing@thinkhappylivehealthy.com.

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Medical service codes ("CPT codes") frequently used by THLH therapists:​

Initial Intake: 90791

Follow-Up appointment: 90837, 90834, 90832

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 Payment via credit card, debit card (including employer-sponsored HSA/FSA/HRA accounts) are accepted. 

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Self-pay

You can pay for care yourself if you have no insurance, have a plan we are not in-network with, or choose not to use your insurance.

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Self-pay rates

• Intake appointment (CPT 90791): $250

• Therapy session, 60 minutes (CPT 90837): $225

• Therapy session, 45 minutes (CPT 90834): $175

• Family therapy without the client present (CPT 90846): $225

• Family therapy with the client present (CPT 90847): $225

For testing and medication management rates, call 703-942-9745.

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Good Faith Estimate

To ask for a Good Faith Estimate, call 703-942-9745 or email billing@thinkhappylivehealthy.com.

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You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.

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Insurance Benefits:

Once you schedule an intake session with us, we will verify your benefits on your behalf. We will verify the following information:

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1. Does my policy cover unlimited visits?

2. Is Teletherapy covered under my plan?

3. Is authorization required for psychotherapy?

4. Do I have a copay, coinsurance, and/or deductible?

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Once we have obtained your insurance benefits, we will share the results with you and save it your file.

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